🔹Two main coronary arteries emanate from the aortic bulb :
• Right coronary artery (RCA)
originates on the right aspect of the aortic bulb.
• Left main coronary artery (LMCA) originates from eft anterior aspect of aortic bulb.
🔹LMCA is short and branches into the two arteries supplying the anterior and left side of the heart, as follows:
• The left anterior descending coronary artery
(LAD).
• The left circumflex coronary artery (LCX).
🔹Coronary artery dominance: The coronary artery that supplies the PDA (posterior descending coronary artery), which supplies the inferior wall of the left ventricle, determines the coronary artery dominance
👉A right-dominant system implies that the PDA is supplied by the RCA.
👉A left-dominant system implies that the PDA is supplied by the left circumflex coronary artery (LCX).
👉Right-dominant system is by far the most common anatomy, occurring in 90% of all individuals.
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How to Measure QT Interval and Calculate the QTc : Thread 2/4
🫀Normal QT Interval Measurement
General rule: QT interval should be < 1/2 RR interval
- Only works at normal heart rates!
Bazett's Formula:
QTc = QT / Sqrt(RR)
(RR in seconds)
QT / QTc Interval in Irregular Rhythms Thread 3/5
• Measure & calculate z QTc for 10 beats (using z RR interval immed. before z ass. QT interval) & take average .
• Measure & calculate z QTc for the QT intervals immed. following z longest & shortest RR intervals & take aver.